NPI | 1396349783 |
---|---|
Former Name | VERONICA MERCEDES MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-11-25 |
Last Update Date | 2023-01-18 |