| NPI | 1487185252 |
|---|---|
| Former Name | TAYLOR SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: SC 96878) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MS 28480) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2026-07-23 |