NPI | 1447222930 |
---|---|
Former Name | SHARI JEAN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NM PA2022-0103) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2022-0103) |
363A00000X Physician Assistant (Licence: AZ 3535) | |
363AM0700X Physician Assistant, Medical (Licence: NH 0303P) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2023-08-29 |