Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | ARNP 9274700 | FL |
NPI | 1033383690 |
---|---|
Provider Name | Mrs. Judith Demars Whipple |
First Address | Lakeland, FL 33803-2148 |
Second Address | Tampa, FL 33606-3601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 30/04/2009 |