| NPI | 1205280104 |
|---|---|
| Former Name | WHITNEY MARIE HINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: ND 18538) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2023-01-23 |