| NPI | 1902899867 |
|---|---|
| Former Name | LISA ERIN WHITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5000717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5000717) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5000717) | |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: NC 5000717) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5000717) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2018-11-27 |