| NPI | 1538860846 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MO 201304519) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: MO 201304519) |
| 163WW0000X Registered Nurse, Wound Care (Licence: MO 201304519) | |
| 163W00000X Registered Nurse (Licence: MO 201304519) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2013045199) | |
| 163WC0400X Registered Nurse, Case Management (Licence: MO 201304519) | |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: MO 201304519) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MO 201304519) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-31 |