NPI | 1104145101 |
---|---|
Former Name | JENNIFER MARIE WHITTINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 286633) |
Additional Taxonomies | 208600000X Surgery (Licence: KY r2402) |
208600000X Surgery (Licence: KY 46460) | |
Enumeration Date | 2010-06-01 |
Last Update Date | 2021-04-02 |