NPI | 1205111069 |
---|---|
Former Name | GENEVIEVE FAYE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95003463) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60249848) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95003463) | |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP95003463) | |
Enumeration Date | 2011-10-12 |
Last Update Date | 2016-04-28 |