NPI | 1134628985 |
---|---|
Former Name | KENDRA BURRESS MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902266) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 902266) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2019-12-05 |