NPI | 1679180699 |
---|---|
Former Name | WHITNEY MICHELLE CALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 200705) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 109792) |
Enumeration Date | 2020-09-24 |
Last Update Date | 2024-07-09 |