| NPI | 1669609442 |
|---|---|
| Former Name | DOLLY PENN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 81812) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 81812) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D81335) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2025-02-25 |