| NPI | 1023900412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.181172.MEDS-IV) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH 2025) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-08-28 |