NPI | 1013326024 |
---|---|
Former Name | TAYLOR L OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 101777) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0101777) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2014-12-10 |