NPI | 1376119255 |
---|---|
Former Name | BROOKE C TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID 8771956) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10075290) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2025-07-29 |