| NPI | 1003279118 |
|---|---|
| Former Name | CALISTA WHALEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003322) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95003322) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003322) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-05-03 |