| NPI | 1437570645 |
|---|---|
| Former Name | THERESA V MILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: NY 21008) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: NY 21008) |
| 174400000X Specialist (Licence: NY 21008) | |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based (Licence: NY 21008) | |
| 247200000X Technician, Other (Licence: NY 21008) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |