NPI | 1487826764 |
---|---|
Former Name | WHITNEY MICHEL WALDROUP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NV 15166) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2012017442) |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA a125661) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-03-27 |
Last Update Date | 2014-12-12 |