NPI | 1609809052 |
---|---|
Former Name | KIRSTEN ELIZABETH WHITMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3956) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP2534) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-07-17 |