| NPI | 1225817661 |
|---|---|
| Former Name | TARA MCCOLLOCH-LUSSIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60584747) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |