NPI | 1376930693 |
---|---|
Former Name | HEATHER LEAANNE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 6760255-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R74941) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2022-06-13 |