NPI | 1275519415 |
---|---|
Former Name | NATALIE D WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA002767-L) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003094) |
363AM0700X Physician Assistant, Medical (Licence: CA 62864) | |
363AM0700X Physician Assistant, Medical (Licence: MI 5601010527) | |
363AM0700X Physician Assistant, Medical (Licence: NY 028054) | |
363AM0700X Physician Assistant, Medical (Licence: WV 2502) | |
Enumeration Date | 2005-12-20 |
Last Update Date | 2024-11-11 |