| NPI | 1114487105 |
|---|---|
| Former Name | RUTH ALLISON MCMILLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN316673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166658) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-09-30 |