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 |