| NPI | 1083681639 |
|---|---|
| Former Name | KATHLEEN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 27651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP06495) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN283452) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-06-24 |