| NPI | 1881119378 |
|---|---|
| Former Name | TAYLOR JAN BERUBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6177) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA PA6177) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-08-17 |