| NPI | 1023216983 |
|---|---|
| Former Name | KATHRYN LEE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NE 25735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 25735) |
| 208000000X Pediatrics (Licence: MS T-2001) | |
| 208000000X Pediatrics (Licence: CA A117170) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-06-15 |