| NPI | 1225791460 |
|---|---|
| Former Name | ALLISON MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4344) |
| 363A00000X Physician Assistant (Licence: GA 13035) | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2025-07-23 |