NPI | 1235772666 |
---|---|
Former Name | TAYLOR C THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 116991) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 116991) |
Enumeration Date | 2019-10-17 |
Last Update Date | 2022-03-04 |