NPI | 1629711783 |
---|---|
Former Name | HALEY KATE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1076968) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 946028) |
Enumeration Date | 2022-04-17 |
Last Update Date | 2022-05-09 |