NPI | 1639368731 |
---|---|
Former Name | MICHELLE FRANCES WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A005414) |
Additional Taxonomies | 171W00000X Contractor |
Enumeration Date | 2007-10-15 |
Last Update Date | 2019-07-18 |