| NPI | 1679197982 |
|---|---|
| Former Name | KRISTIN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202004201NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202004201NP) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |