NPI | 1235217688 |
---|---|
Former Name | TERESA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008818) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008818) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-28 |