| NPI | 1417953860 |
|---|---|
| Former Name | ELLEN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9439216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 152847) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2018-07-16 |