NPI | 1235905258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 133106) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2023-11-30 |
Last Update Date | 2025-04-07 |