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 |