NPI | 1831312933 |
---|---|
Former Name | MARNIE LYNN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 58239) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 58239) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2016-05-13 |