| NPI | 1467188243 |
|---|---|
| Former Name | WHITNEY DEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016597) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5016597) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-03-02 |