| NPI | 1023207461 |
|---|---|
| Former Name | MARNI MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA54367) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 3721) |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 3721) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2022-07-21 |