| 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 |