| 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 |