| NPI | 1447814132 |
|---|---|
| Former Name | ELIZABETH WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010377) |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2024-11-20 |