| NPI | 1922572080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.510197) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.179052.MEDS-IV) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.168514) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2022-06-26 |