NPI | 1669906228 |
---|---|
Former Name | ODETTE AMANDA PRINCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61023343) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2024-07-30 |