NPI | 1134733520 |
---|---|
Former Name | VICTORIA PAIGE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905356) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 922215) |
163W00000X Registered Nurse (Licence: TX 1014082) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1014082) | |
Enumeration Date | 2020-09-02 |
Last Update Date | 2023-08-25 |