| 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 |