| NPI | 1104105170 |
|---|---|
| Former Name | CORRY ELIZABETH TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS59070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 35727) |
| 183500000X Pharmacist (Licence: KY 018774) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2019-10-08 |