| NPI | 1316327026 |
|---|---|
| Former Name | MARY W WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP12747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 788781) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-03-03 |