| NPI | 1982074209 |
|---|---|
| Former Name | ANNELISE CROSSWHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60602932) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2020-11-10 |