| NPI | 1720895857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.134845) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-02-05 |