| NPI | 1780120766 | 
|---|---|
| Former Name | TAYLOR HORTON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN218884) | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RNQ128884) | 
| Enumeration Date | 2017-01-13 | 
| Last Update Date | 2018-04-23 |