NPI | 1609329937 |
---|---|
Other Name | KATASHA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Additional Taxonomies | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-08-03 |