NPI | 1013488147 |
---|---|
Former Name | LAUREN MICHELLE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019679) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019679) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP019679) | |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |