| NPI | 1720550049 |
|---|---|
| Former Name | MONIQUE VANESSA WHITTICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN22505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN231834) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2022-04-01 |