| NPI | 1609016997 |
|---|---|
| Other Name | ANGELA SUE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002758A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 050302104) |
| 363A00000X Physician Assistant (Licence: CA 20206) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2023-02-09 |