| NPI | 1356839724 |
|---|---|
| Former Name | MARANDA WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 234343-30) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |