| NPI | 1386944304 |
|---|---|
| Former Name | TESSA A WHITELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1002) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21275) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2016-12-07 |