| NPI | 1518502897 |
|---|---|
| Former Name | MICHELLE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009629A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28195734A) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2024-08-30 |