NPI | 1417277229 |
---|---|
Former Name | LINDA M WHITAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006258) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006258) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28100024A) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2022-04-18 |