| NPI | 1669869061 |
|---|---|
| Former Name | BIANCA MARIE WHITTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 72247) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000057436) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-10-10 |