Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 229832 | MA |
NPI | 1043326937 |
---|---|
Provider Name | Ms. Katherine Link White |
First Address | Northampton, MA 01060 |
Second Address | Northampton, MA 01060-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 15/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31470 | (02) |