NPI | 1104208867 |
---|---|
Former Name | DANIELLE LEA MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME142119) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT209699) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2019-08-26 |