| NPI | 1730193921 |
|---|---|
| Former Name | MICHELLE TAYLOR |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 17-01308) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 1701308) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-02-20 |