NPI | 1861896532 |
---|---|
Former Name | REBECCA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE F0914830) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000787) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2022-02-17 |