NPI | 1841893278 |
---|---|
Former Name | ALEYSHA LAREE HONABLUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61482656) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61090346) |
Enumeration Date | 2020-11-18 |
Last Update Date | 2023-09-14 |