| 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 |