NPI | 1932338431 |
---|---|
Former Name | JANET LOUISE WHITAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 8167.1320) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000013971) |
363L00000X Nurse Practitioner (Licence: ID NP-1129A) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2014-06-28 |