NPI | 1437674322 |
---|---|
Former Name | MEGHAN FAYE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23040) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23040) |
Enumeration Date | 2017-08-11 |
Last Update Date | 2024-01-07 |