NPI | 1629299623 |
---|---|
Former Name | ELIZABETH JANE WHITNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 4373) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 39865) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2008-01-28 |