| NPI | 1942612247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH 2944541) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN163626) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2017-03-22 |