| NPI | 1710501218 |
|---|---|
| Former Name | TAYLOR LEE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 15019-24) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2021-12-17 |