| NPI | 1730888421 |
|---|---|
| Former Name | MAIA TENEA MCCOY MATTHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WA RN61113017) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WA RN61113017) |
| 163W00000X Registered Nurse (Licence: WA RN61113017) | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |