| NPI | 1730930298 |
|---|---|
| Former Name | TAYLOR LEE BOGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: UT 14244280-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-09-29 |