| NPI | 1013544402 |
|---|---|
| Former Name | TAYLOR M. BUCKSTAFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 13327653-1205) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-03-30 |