| NPI | 1912666371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.180341.MEDS-IV) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH LPN180341MEDSIV) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-03-11 |