NPI | 1891251815 |
---|---|
Former Name | JANET RUTH LORENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028161) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011522) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2023-09-18 |