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 |