NPI | 1063755221 |
---|---|
Former Name | DEBRA ANN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP123472) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 683447) |
Enumeration Date | 2013-04-05 |
Last Update Date | 2019-09-17 |