NPI | 1336515063 |
---|---|
Former Name | LINDSEY RAE MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0124800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209964) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2017-01-09 |