| NPI | 1295089217 |
|---|---|
| Former Name | MICHELLE O. WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN112864) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2016-12-13 |