| NPI | 1821488099 |
|---|---|
| Former Name | RENATTA NICOLE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 18926) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-016828) |
| 363L00000X Nurse Practitioner (Licence: SC 18926) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2021-11-03 |