NPI | 1689007031 |
---|---|
Former Name | MARION LEIGH WILHOITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25255) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 25255) |
163W00000X Registered Nurse (Licence: CA 848707) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 23513) | |
Enumeration Date | 2013-08-20 |
Last Update Date | 2024-10-21 |