| 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 | 2086S0102X Surgery, Surgical Critical Care (Licence: WV 2268)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-12-16 | 
| Last Update Date | 2025-08-08 |