NPI | 1053495689 |
---|---|
Former Name | JAMIE LYNN WILHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4995P) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28127339A) |
163W00000X Registered Nurse (Licence: KY 1082226) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2015-11-03 |