| NPI | 1144648171 |
|---|---|
| Former Name | CYNTHIA KAREN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA N360540926) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-05-18 |