| NPI | 1295370963 |
|---|---|
| Former Name | TARA BETH WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 124323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 267282) |
| 163W00000X Registered Nurse (Licence: NY 781579) | |
| 163W00000X Registered Nurse (Licence: CT 169590) | |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2021-11-08 |