| NPI | 1316293566 |
|---|---|
| Former Name | KATHLEEN E WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-75701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 5375701-072) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: KS 53-75701) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2020-03-20 |