| NPI | 1063150811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.150776.MEDS-IV) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-09-09 |