NPI | 1033187737 |
---|---|
Former Name | JOY L MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61325059) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA19100) |
363A00000X Physician Assistant (Licence: AZ 3314) | |
363A00000X Physician Assistant (Licence: CA PA19100) | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2022-12-22 |