| NPI | 1407577042 |
|---|---|
| Other Name | TAYLOR LYNN IWASZKO WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 9671) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN 2457889) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-03-30 |