NPI | 1255727087 |
---|---|
Former Name | DANIELLE DOW TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NC 2021-02321) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AZ 60749) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2021-12-06 |