NPI | 1861017774 |
---|---|
Former Name | ASHLEY R TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10000225) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61075504) |
Enumeration Date | 2020-06-16 |
Last Update Date | 2022-11-21 |