| 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 |