| NPI | 1245461250 |
|---|---|
| Former Name | TERRI TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 614809-1) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2021-11-01 |