NPI | 1871883066 |
---|---|
Former Name | LAURA JILL WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.132034) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX Q7611) |
207Y00000X Otolaryngology | |
Enumeration Date | 2011-04-09 |
Last Update Date | 2022-07-21 |