| NPI | 1396498366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.181413.MEDS-IV) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-12-29 |