| NPI | 1164939120 |
|---|---|
| Former Name | QUIANA CHILDRESS-WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61423588) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L046425) |
| 164W00000X Licensed Practical Nurse (Licence: WA LP60672165) | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2023-06-19 |