| NPI | 1356945463 |
|---|---|
| Former Name | TAYLER MARIE O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 13529-33) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0995711-NP) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-10-17 |