| NPI | 1265737738 |
|---|---|
| Former Name | MARY C MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.008335) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2019-09-10 |