| NPI | 1083811400 |
|---|---|
| Former Name | COLLEEN DIANE WHALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 25564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 179-320) |
| 207R00000X Internal Medicine (Licence: IN 01080835A) | |
| 207R00000X Internal Medicine (Licence: MO 2018029425) | |
| 207R00000X Internal Medicine (Licence: KY 51797) | |
| 207R00000X Internal Medicine (Licence: ND 15546) | |
| 207R00000X Internal Medicine (Licence: NY 295094) | |
| 207R00000X Internal Medicine (Licence: MN 64041) | |
| 207R00000X Internal Medicine (Licence: KS 04-41692) | |
| 207R00000X Internal Medicine (Licence: SD 11003) | |
| 207R00000X Internal Medicine (Licence: CO CDR.0000156) | |
| 207R00000X Internal Medicine (Licence: IA MD-45438) | |
| 207R00000X Internal Medicine (Licence: TN 59150) | |
| 207R00000X Internal Medicine (Licence: ME MD22452) | |
| 207R00000X Internal Medicine (Licence: MI 4301115893) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-07-30 |