| NPI | 1356642409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 142056) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2019-08-27 |