| NPI | 1841843265 |
|---|---|
| Former Name | STEPHANIE N WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0087770) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 87770) |
| 208000000X Pediatrics (Licence: OK 87770) | |
| 208000000X Pediatrics (Licence: OK R87770) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-03-08 |