| NPI | 1639601172 |
|---|---|
| Former Name | LAUREL ANNE WHITIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC D0210001343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A18030) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-08-25 |