| NPI | 1750898813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.178677.MEDS-IV) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2023-02-22 |