NPI | 1063280352 |
---|---|
Former Name | SANDRA SCHONGALLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00089352) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN00089352) |
163WH1000X Registered Nurse, Hospice (Licence: WA RN00089352) | |
Enumeration Date | 2023-12-15 |
Last Update Date | 2023-12-15 |