| 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 |