| NPI | 1336553288 |
|---|---|
| Former Name | JASMINE ALICIA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 104193) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD464092) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2025-04-22 |