| NPI | 1265676480 |
|---|---|
| Former Name | CARLY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: WA MD 60306153) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2016-05-02 |