| NPI | 1174160014 |
|---|---|
| Former Name | MONEISHA SHAUNTAE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA 1011-6981) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |