| NPI | 1073689683 |
|---|---|
| Former Name | JERALYN ELLICE WHITEHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A064527) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-10-19 |