NPI | 1942403506 |
---|---|
Former Name | PATRICIA EDITH SUROWIECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA AP30001796) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2007-07-08 |