| NPI | 1437661535 |
|---|---|
| Former Name | CARRIE LEE ENGLUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: WI 227066) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |