| NPI | 1619144342 |
|---|---|
| Former Name | JULIE MISTY TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA DO.000231) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN DO0000002549) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2017-10-30 |