NPI | 1881668523 |
---|---|
Other Name | JAN L TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 251806) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J5862) |
207Q00000X Family Medicine (Licence: NC 38549) | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2014-08-13 |