| NPI | 1992383160 |
|---|---|
| Former Name | TAYLOR LAINE ERNEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 72288) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 31581) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2022-08-12 |