| NPI | 1639755747 |
|---|---|
| Former Name | HEATHER WHITING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A162114) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-02-06 |