NPI | 1710768478 |
---|---|
Former Name | WHITNEY KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209.027554) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209027554) |
Enumeration Date | 2023-10-09 |
Last Update Date | 2024-10-30 |