| NPI | 1225094162 |
|---|---|
| Former Name | JOLANDA M WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME93333) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35088613) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2013-12-17 |