| NPI | 1821322355 |
|---|---|
| Former Name | LAURA LEE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-1133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-54391) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |