| NPI | 1366994782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.128836.meds) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2024-12-12 |