NPI | 1306053038 |
---|---|
Former Name | AMY MICHELLE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 14247) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 56950) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 566950) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2022-07-01 |