| NPI | 1679350219 |
|---|---|
| Former Name | ANGIE KELLEY DYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: WA RN60275497) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN60275497) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |