| NPI | 1780642769 |
|---|---|
| Former Name | FREDDIE WHITE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9299773) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 576194) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 9223) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-10-16 |