NPI | 1215699798 |
---|---|
Other Name | JESI ANNABELLE WHITLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 0652R) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-10-12 |
Last Update Date | 2024-10-03 |