| NPI | 1073939450 |
|---|---|
| Former Name | WHITNEY BLEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 5101020904) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020904) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2018-07-13 |