NPI | 1144205469 |
---|---|
Former Name | WANDA L. TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17827) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177506) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2024-01-17 |