| NPI | 1164622924 |
|---|---|
| Former Name | MICHELLE LYNNE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 64204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 002482) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2010-07-19 |