NPI | 1184125684 |
---|---|
Former Name | WADIYA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001167) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018496) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2025-05-22 |