NPI | 1073123857 |
---|---|
Former Name | CATHERINE ELIZABETH WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704292076) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179522) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2022-01-03 |