NPI | 1235767229 |
---|---|
Former Name | SARAH GRACE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MO 2015021467) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557786062) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2020-07-09 |