NPI | 1124533138 |
---|---|
Former Name | CAITLIN J. TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348628-01) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018683) |
Enumeration Date | 2017-12-13 |
Last Update Date | 2022-01-19 |