| NPI | 1992227557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN146737) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.007121) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2026-01-28 |