NPI | 1982059929 |
---|---|
Former Name | TAYLOR B YOUNGBLOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004699) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1135270) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2024-09-19 |