| NPI | 1225758865 |
|---|---|
| Former Name | JESSICA DZIALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61688421) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60739897) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-06-10 |