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 |