| NPI | 1801536677 |
|---|---|
| Former Name | TAYLOR MATTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 799-09) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-05-11 |