NPI | 1003232430 |
---|---|
Former Name | JANICE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013447) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0000303) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2024-04-01 |