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 |