NPI | 1467704254 |
---|---|
Former Name | WHITNEY VANDERHOOF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA1449) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1449) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2025-04-07 |