| 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 |