NPI | 1003158106 |
---|---|
Former Name | CHRISTINE MARY WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CT 060334) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-03-27 |
Last Update Date | 2021-06-29 |