NPI | 1992830798 |
---|---|
Former Name | STEPHANIE JEAN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 9195082) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO APN.0996652-CNM) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 613408) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2022-08-16 |