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 |