| NPI | 1356526115 |
|---|---|
| Former Name | CONNIE LOU MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 815310) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 68232) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2016-06-21 |