| NPI | 1336841527 |
|---|---|
| Former Name | TAYLOR CORK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 18696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 6336) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-07-07 |