NPI | 1124028113 |
---|---|
Professional Name | ANDREA M MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022059) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019022059) |
Enumeration Date | 2005-07-30 |
Last Update Date | 2023-03-16 |