| NPI | 1598970808 |
|---|---|
| Former Name | AUDRA ANN WHITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 50550) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 34128) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-12-16 |