| NPI | 1780955955 |
|---|---|
| Former Name | TAMMIE LYNN WHITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 687116) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 687116) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2021-11-17 |