| NPI | 1063963049 |
|---|---|
| Former Name | BROOKE RAE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001628) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC 1001628) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-11-14 |