| NPI | 1053510172 |
|---|---|
| Former Name | KRISTINE NICOLE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C03550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C03550) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C03550) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2013-06-24 |