NPI | 1124300058 |
---|---|
Former Name | TAYLOR A NOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 2013023011) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 18701) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2014-05-27 |