| NPI | 1730717901 |
|---|---|
| Former Name | WHITNEY M PECONGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011199A) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28222362) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-12-11 |