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 |