NPI | 1295261063 |
---|---|
Former Name | CAROLINE WILSON MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 12783) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10830) |
207W00000X Ophthalmology (Licence: MN 70368) | |
207W00000X Ophthalmology (Licence: IA R-10830) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-07-29 |