| NPI | 1578805321 |
|---|---|
| Former Name | JANESA NOVELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 178833) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA. 05302) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-12-28 |