NPI | 1003818394 |
---|---|
Former Name | KIMBERLY R MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX M0493) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX M0493) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2015-09-11 |