NPI | 1093962714 |
---|---|
Professional Name | CAROL MANNING WHITESIDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 197834-8900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 1978348900) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2008-08-25 |