| NPI | 1144947003 |
|---|---|
| Former Name | COURTENEY ANN CHAMPOUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61049742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 73795) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |