| NPI | 1982789319 |
|---|---|
| Former Name | LAURI PENZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ00242700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP006837C) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-09-12 |