| NPI | 1669943890 |
|---|---|
| Other Name | TAYLOR E D'ETCHEVERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009282) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WV 2268) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-01-25 |