| NPI | 1063172401 |
|---|---|
| Former Name | BAYLEIGH AUGUSTA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085010978) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2025-05-01 |