NPI | 1336662105 |
---|---|
Former Name | BRITTANY ANN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 5398) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MN 1962969) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2020-10-05 |