| NPI | 1134629355 |
|---|---|
| Former Name | SARA LOUISE RASMUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 168790) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |