| NPI | 1467716464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn146071) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: OH PN146071) |
| 172V00000X Community Health Worker (Licence: OH 146071) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2015-12-09 |