NPI | 1225327075 |
---|---|
Former Name | BRITTANY MICHELLE MILLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WA MD60570016) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60570016) |
208D00000X General Practice (Licence: WA MD60570016) | |
Enumeration Date | 2011-04-01 |
Last Update Date | 2025-04-02 |