| NPI | 1881835163 |
|---|---|
| Former Name | PATTY PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60071357) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA AP60071357) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2020-02-05 |