| NPI | 1912762949 |
|---|---|
| Former Name | JERUSHA ANN CANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: OR 200241525RN) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |