NPI | 1871196477 |
---|---|
Former Name | TAYLOR N WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.009466) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA59283) |
363A00000X Physician Assistant (Licence: IL 085009466) | |
Enumeration Date | 2020-11-17 |
Last Update Date | 2023-07-22 |