NPI | 1124026042 |
---|---|
Former Name | MINDY KAY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G184388) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D093454) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2025-10-05 |