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 |