| NPI | 1205132636 |
|---|---|
| Former Name | ROSALYNN DENISE WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AR R26709) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |