NPI | 1851880447 |
---|---|
Former Name | ALLISA BETH ROSE WHITMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 21502) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-05-09 |
Last Update Date | 2021-07-26 |