| NPI | 1679125363 |
|---|---|
| Former Name | TAYLOR MARIE BEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704316158) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: MI 4704316158) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-05-17 |