NPI | 1306185442 |
---|---|
Former Name | EMILY KRISTINE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NM 2022-1202) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75695) |
208100000X Physical Medicine & Rehabilitation (Licence: CA A150977) | |
Enumeration Date | 2013-02-09 |
Last Update Date | 2024-10-05 |