| NPI | 1417309618 |
|---|---|
| Former Name | LAUREN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1264108) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2021-04-29 |