NPI | 1326544602 |
---|---|
Former Name | TAYLOR BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 92127) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-04 |
Last Update Date | 2022-05-27 |