| NPI | 1477545457 |
|---|---|
| Former Name | WAYNELLA JEAN UHLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 055986) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA T-055986) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |