NPI | 1700662111 |
---|---|
Former Name | MONICA NICOLE CASKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61531674) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00148450) |
Enumeration Date | 2023-09-01 |
Last Update Date | 2024-02-29 |