| NPI | 1992321137 |
|---|---|
| Former Name | MARIANA NIBLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61311630) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61311630) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-10-21 |