| NPI | 1215103296 |
|---|---|
| Former Name | KRYSTAL WHITMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 7960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 472159) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |