| NPI | 1336331636 |
|---|---|
| Former Name | MARY DENYCE NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00046125) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |