NPI | 1164068425 |
---|---|
Former Name | SARA ELIZABETH TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9266299) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN231507) |
Enumeration Date | 2019-11-21 |
Last Update Date | 2022-06-06 |