NPI | 1568120251 |
---|---|
Former Name | WENDA ELIZABETH DECENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 627320) |
Enumeration Date | 2021-11-30 |
Last Update Date | 2021-11-30 |