NPI | 1891927000 |
---|---|
Former Name | KATHERINE AMANDA POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60213651) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2019-10-29 |