| NPI | 1497086201 | 
|---|---|
| Former Name | MARIAN ROSE TAYLOR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1901942) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 1901942) | 
| Enumeration Date | 2010-01-18 | 
| Last Update Date | 2022-10-06 |