NPI | 1053520650 |
---|---|
Former Name | JACQUELINE L WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 286911) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 241885) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2017-02-24 |