| 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 |