| NPI | 1659679868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN075181) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2019-01-28 |