| NPI | 1710342100 |
|---|---|
| Former Name | JULIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114494) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4304) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2022-02-01 |