| NPI | 1063868958 |
|---|---|
| Former Name | LEAH MICHELLE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD468982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT212216) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-05-03 |