NPI | 1447425293 |
---|---|
Former Name | WHITNEY MALYN BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 199832-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 1998324405) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2009-12-19 |