| NPI | 1609471242 |
|---|---|
| Former Name | ANGELA VASLOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60415133) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WA RN60415133) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-02-17 |