| NPI | 1780807891 |
|---|---|
| Professional Name | IRIS JENELL WALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK R 0050753) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |