NPI | 1497399315 |
---|---|
Former Name | ALEXANDRA QUINN MARIN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95207909) |
Enumeration Date | 2019-11-04 |
Last Update Date | 2024-03-19 |