| NPI | 1346746419 |
|---|---|
| Former Name | ERICA MARIE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036176517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 2105) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-08-26 |