| NPI | 1902806524 |
|---|---|
| Former Name | MARY A TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 8227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 8227) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2023-08-28 |