| NPI | 1073393559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 134892) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2026-05-29 |