NPI | 1932694882 |
---|---|
Former Name | TAYLOR O'CONNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2024-0642) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-06-23 |
Last Update Date | 2024-07-13 |