| NPI | 1033887823 |
|---|---|
| Former Name | TAYLOR DAWN LAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001011407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 0010-11407) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 001011407) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 001011407) | |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-21 |