NPI | 1457907073 |
---|---|
Other Name | TAYLOR MARIE PAULSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1536) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
363A00000X Physician Assistant (Licence: NE 2670) | |
Enumeration Date | 2019-08-11 |
Last Update Date | 2024-06-25 |