| NPI | 1346531449 |
|---|---|
| Former Name | NICOLE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 067955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20a10753) |
| 207R00000X Internal Medicine (Licence: GA 067955) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2019-10-04 |