| NPI | 1245906460 |
|---|---|
| Former Name | TAYLOR LYNN TIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0029062) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-19 |