| NPI | 1235551706 |
|---|---|
| Former Name | NICHOLE RAE MILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004372) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AS0400X Physician Assistant, Surgical (Licence: CO PA.004372) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-10-23 |