| NPI | 1023410263 |
|---|---|
| Former Name | SANDRA BREUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60480604) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |