| NPI | 1972538718 |
|---|---|
| Former Name | TAMMY T TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R850459) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-10-05 |