NPI | 1386338531 |
---|---|
Former Name | TAYLOR LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 118490) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 83499) |
Enumeration Date | 2023-06-08 |
Last Update Date | 2024-10-28 |