| NPI | 1457894610 |
|---|---|
| Former Name | MICHAELA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 116510) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS100968) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |