NPI | 1356705263 |
---|---|
Former Name | COURTNEY SARAH WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD469805) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0028181) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12659800) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2025-09-26 |