NPI | 1992144489 |
---|---|
Former Name | VIRGINIA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010976) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH ARNP.CNP.14547) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2021-04-02 |