NPI | 1053608646 |
---|---|
Former Name | EMILY J MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 27125) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 6532) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2014-09-16 |