| NPI | 1184091654 |
|---|---|
| Former Name | WHITNEY ANNE VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 9999999) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2019-02-28 |