| NPI | 1053618553 |
|---|---|
| Former Name | ANITA GAIL WISEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00073556) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |