NPI | 1104437201 |
---|---|
Former Name | TAYLOR RAE HASTINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008258) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008258) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11008258) | |
Enumeration Date | 2020-08-12 |
Last Update Date | 2023-03-16 |