NPI | 1386962249 |
---|---|
Former Name | MEREDITH ELLIOTT MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-00369) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 164538) |
208000000X Pediatrics (Licence: NC 2014-00369) | |
Enumeration Date | 2010-05-17 |
Last Update Date | 2021-03-02 |