NPI | 1093094674 |
---|---|
Former Name | GRETCHEN E. MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006908) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006908) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2020-09-29 |