NPI | 1730689191 |
---|---|
Former Name | VALERIE ELAINE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 128313) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN128313) |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN128313) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN128313) | |
Enumeration Date | 2018-02-12 |
Last Update Date | 2021-04-20 |