| NPI | 1811465651 |
|---|---|
| Former Name | SUSAN R COLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00085792) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WA RN00085792) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-12-19 |