| NPI | 1376183467 |
|---|---|
| Former Name | MICHELLE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020398) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-04-24 |