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 |