NPI | 1548976228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704372796) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI 4704372796) |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-26 |