NPI | 1104149327 |
---|---|
Former Name | ALLISON BLAIR TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104815) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104815) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2024-10-16 |