| NPI | 1316656457 |
|---|---|
| Former Name | HEATHER MARIE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 2048527) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-30 |