NPI | 1679110209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN468266) |
251S00000X | |
Enumeration Date | 2019-12-02 |
Last Update Date | 2021-11-10 |