| NPI | 1689102576 |
|---|---|
| Former Name | PAMELA JO SEAWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 657434) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-31 |