| NPI | 1659475911 |
|---|---|
| Former Name | AMY TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 002158) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002158) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CT 002158) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2021-10-11 |