| NPI | 1215593660 |
|---|---|
| Former Name | ALICIA K MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704313591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9351-33) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2020-06-22 |