| 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 |