| NPI | 1861133365 |
|---|---|
| Professional Name | MAYA SIMONE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 4472-24) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 12018) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2024-08-01 |