NPI | 1376994194 |
---|---|
Former Name | SARAH MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7879) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7754) |
207R00000X Internal Medicine (Licence: NE 31493) | |
Enumeration Date | 2016-06-22 |
Last Update Date | 2023-09-26 |