| NPI | 1558751784 |
|---|---|
| Former Name | BULI SADO WOTICHA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 201408149RN) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |