NPI | 1396058616 |
---|---|
Former Name | EMILY ANN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NY 017689) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: VA 0110003310) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2023-12-08 |