| NPI | 1801976683 |
|---|---|
| Former Name | LACY ELIZABETH TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO 45689) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-06-03 |