| NPI | 1023886314 |
|---|---|
| Former Name | LIDA JERSILD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60283744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60283744) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |