| NPI | 1639409402 |
|---|---|
| Former Name | WENDY ANN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP04569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN 096268) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |