NPI | 1851781751 |
---|---|
Former Name | TONI ANGELA WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019745) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19611) |
363L00000X Nurse Practitioner (Licence: TN 19611) | |
Enumeration Date | 2015-01-29 |
Last Update Date | 2024-05-28 |