| NPI | 1972192946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.147668.MEDs-IV) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-03-22 |