| 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 |