| NPI | 1083853675 |
|---|---|
| Former Name | SHANNON KAY WHITING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2004031239) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |