NPI | 1467943803 |
---|---|
Former Name | MARIE VERONICA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9174360) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9174360) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2022-09-08 |