| NPI | 1003392556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 1333-66) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.005523) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2025-06-26 |