| NPI | 1760452601 |
|---|---|
| Former Name | JESSICA ANN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2010-0142) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 50457-20) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-10-18 |