| NPI | 1306391339 |
|---|---|
| Former Name | ERIN TAYLOR WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704318332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318332) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-06-18 |