NPI | 1245669712 |
---|---|
Former Name | SARAH MAE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013342) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013342) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2021-09-20 |