NPI | 1336876291 |
---|---|
Former Name | CARLA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1059225) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1059225) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2023-12-11 |