| NPI | 1902604614 |
|---|---|
| Doing Business As | TINEA WHITE SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | TINEA WHITE Owner 917-463-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |