| NPI | 1336108117 |
|---|---|
| Former Name | ANDREA M WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP6979) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ AP0225) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-04-05 |