| NPI | 1275514929 |
|---|---|
| Former Name | JACQUELINE S TAYLOR ODONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E2888) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2011-11-01 |