NPI | 1902454671 |
---|---|
Former Name | SHAWNA GOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.135682.MEDS-IV) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-03-03 |