| NPI | 1982957700 |
|---|---|
| Former Name | WHITNEY MARIE RONAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006465) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601006465) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2015-12-28 |