NPI | 1104603380 |
---|---|
Former Name | HALIE MARIE MILAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14227) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14-227-33) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2025-02-21 |