| NPI | 1679272074 |
|---|---|
| Former Name | SHAWN MICHELE KATSIKAPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WA RN00174090) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |