| NPI | 1073778767 |
|---|---|
| Former Name | TINA MICHELLE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011228) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011228) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2025-11-21 |