| NPI | 1336408103 |
|---|---|
| Former Name | RENEE DAWN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX R7983) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018041276) |
| 207L00000X Anesthesiology (Licence: WI 74769) | |
| 207L00000X Anesthesiology (Licence: TX R7983) | |
| 208D00000X General Practice (Licence: VA 0101257424) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2024-06-05 |