| NPI | 1972683571 |
|---|---|
| Former Name | AUDREY JEAN LAXTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP30004413) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-04-24 |