| NPI | 1114206786 |
|---|---|
| Former Name | LORRIE LARAY HEGEWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60733191) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2018-11-28 |