| NPI | 1194817700 |
|---|---|
| Former Name | JANET MARIE RANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60095267) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 737) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-12-27 |