NPI | 1174287080 |
---|---|
Former Name | WHITNEY E FAUNCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011494A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 71011494A) |
Enumeration Date | 2021-10-26 |
Last Update Date | 2025-01-29 |