| NPI | 1104166925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-133351-M-IV) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2023-08-23 |