| NPI | 1255669685 |
|---|---|
| Former Name | DANIELLE L MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003053) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005722) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2010-10-07 |