| NPI | 1245985662 |
|---|---|
| Former Name | CARRIE ANN WHIGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207009) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OK R0117242) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-18 |