| NPI | 1265725212 |
|---|---|
| Former Name | SHELIA ANN VANDUSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA RN00093141) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |