| NPI | 1114263274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.399290) |
| 163W00000X Registered Nurse (Licence: KY 1139622) | |
| 163WC0400X Registered Nurse Case Management (Licence: OH RN.399290) | |
| 164W00000X Licensed Practical Nurse (Licence: OH PN.144965-MEDS) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 224528) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2021-08-05 |