NPI | 1245240662 |
---|---|
Former Name | CATHERINE ANN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036123113) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8834) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2018-07-25 |