NPI | 1811666746 |
---|---|
Former Name | LYA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 879518) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN84716) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2024-06-27 |