| NPI | 1295109809 |
|---|---|
| Former Name | ABBY TAYLOR PROUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R187154) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015592) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP015592) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-07-28 |