| NPI | 1316074735 |
|---|---|
| Former Name | HIATT G TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.003091RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 01281) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 010956) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-01-20 |