NPI | 1083984785 |
---|---|
Former Name | KATY ANN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA243030) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 072026-23) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 88204) | |
Enumeration Date | 2012-01-11 |
Last Update Date | 2024-06-06 |