| NPI | 1447352604 |
|---|---|
| Former Name | JESSICA DUREL TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 60943) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX M4336) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-04-12 |