NPI | 1336593524 |
---|---|
Former Name | SKYLER MICHELLE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX BP10056530) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX S4018) |
207R00000X Internal Medicine (Licence: TX BP10056530) | |
Enumeration Date | 2016-04-14 |
Last Update Date | 2022-05-24 |