| NPI | 1053665463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 145372 M-IV) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2024-08-01 |