| NPI | 1821601543 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: KS 13-101490-041) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: KS 13-87587-052) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-09-23 |