NPI | 1033633623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WI0500X Registered Nurse Infusion Therapy (Licence: AL 1-147465) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: AL 1-147465) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2022-07-21 |