| NPI | 1265882690 |
|---|---|
| Former Name | WHITNEY ANNE TALBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX U4850) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA10809600) |
| 207N00000X Dermatology (Licence: NY 39020000X) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-10-23 |