NPI | 1730474016 |
---|---|
Former Name | SARA LYNN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101019304) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 37593) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2025-02-25 |