| NPI | 1649381880 |
|---|---|
| Former Name | HEATHER ANNE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME119017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 050841) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-09-02 |