| NPI | 1093240111 |
|---|---|
| Former Name | HEATHER ASHLEY WHITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 05336) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02005748A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 02005748A) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2022-09-26 |