NPI | 1255333712 |
---|---|
Former Name | CYNTHIA CAROL WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E35588) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 520597) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9213664) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2007-07-08 |