NPI | 1407600463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.158563.MEDS-IV) |
Enumeration Date | 2024-04-16 |
Last Update Date | 2024-05-08 |