NPI | 1457476624 |
---|---|
Former Name | MERCEDES L TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 60274) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC002386) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001204998) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-01 |