| NPI | 1861939522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN 124422) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2022-05-27 |