| NPI | 1558898718 |
|---|---|
| Former Name | ELAINA R WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059139) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-06-19 |