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 |