| NPI | 1457802662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 159279) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH QMHS3) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2026-01-14 |