| NPI | 1134590805 |
|---|---|
| Former Name | MICHELLE ELIZABETH MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9262797) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2018-10-29 |