| NPI | 1326680505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.163643.MEDS-IV) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2020-10-26 |