NPI | 1700059938 |
---|---|
Former Name | DIANE LYNN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN2582442) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |