| NPI | 1053612507 |
|---|---|
| Former Name | STEPHANIE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NH 063007-21) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2015-11-23 |