NPI | 1861152019 |
---|---|
Former Name | TAYLOR LYNN GINGELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024831) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP024831) |
Enumeration Date | 2021-12-28 |
Last Update Date | 2023-04-30 |