| NPI | 1043602147 |
|---|---|
| Former Name | MARY TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60909312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8067) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MS R863948) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2020-06-24 |