| NPI | 1487219499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.181474.MEDS-IV) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-10-26 |