| NPI | 1194314765 |
|---|---|
| Former Name | SIERRA JADE MCNAMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 242677) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |