| NPI | 1093731002 |
|---|---|
| Former Name | DELANA PHILLIPS WHITED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 96370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G56304) |
| 207Q00000X Family Medicine (Licence: HI MD8224) | |
| 207Q00000X Family Medicine (Licence: NC 9600229) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-06-09 |