| NPI | 1174064760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.179737.MEDS-IV) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401854710516) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH LPN.179737.MEDS-IV) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2026-09-30 |