| NPI | 1619766821 |
|---|---|
| Former Name | TAYLOR NATHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 357250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 818663) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2026-08-25 |