NPI | 1154908713 |
---|---|
Former Name | DARCI MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020018231) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79564-032) |
Enumeration Date | 2021-03-28 |
Last Update Date | 2022-04-05 |