| NPI | 1720220650 |
|---|---|
| Former Name | ALICIA MARIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.010642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-010642) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2020-12-04 |