NPI | 1770984841 |
---|---|
Former Name | REBECCA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201406327NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201607336NP-PP) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2024-04-01 |