| NPI | 1861743569 |
|---|---|
| Former Name | PROMISE GOLDYN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 5036) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2012-0033) |
| 363A00000X Physician Assistant (Licence: TN 5036) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NM PA2012-0033) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2023-03-08 |