NPI | 1619043742 |
---|---|
Former Name | KATHLEEN M WHALEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 003737) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY F-420766-1) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY F420766-1) | |
363L00000X Nurse Practitioner (Licence: NY F420766-1) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY F-420766-1) | |
Enumeration Date | 2006-11-28 |
Last Update Date | 2018-06-19 |