| NPI | 1154913721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.194618) |
| Additional Taxonomies | 172A00000X Driver |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2025-10-30 |