| NPI | 1013679208 |
|---|---|
| Former Name | PAMELA JAKLIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN.317356) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |