| NPI | 1760047260 |
|---|---|
| Former Name | KRISTIE YVONNE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 32475) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 32475) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-09-10 |