NPI | 1003357799 |
---|---|
Former Name | WHITNEY SAMANTHA MCMULLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133283) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 786958) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2022-04-12 |