NPI | 1215212592 |
---|---|
Former Name | HEATHER B WHALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 35091) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 1241120) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2022-03-26 |