| NPI | 1649891235 |
|---|---|
| Former Name | VIRGINIA BETH TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX BP10072200) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-21 |