| NPI | 1134730310 |
|---|---|
| Former Name | WHITNEY WATERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209021785) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021785) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-02-25 |