| 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 |