| NPI | 1588137806 |
|---|---|
| Former Name | DANIELLE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61630581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61094890) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-11-22 |