| NPI | 1932248515 |
|---|---|
| Former Name | VIRGINIA W WHITEHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN 123) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-11-11 |