NPI | 1598107013 |
---|---|
Former Name | WHITNEY RYAN CARMICHAEL HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107322) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL PA9107322) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2016-02-02 |