| NPI | 1467713008 |
|---|---|
| Former Name | COLEEN E MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP4492) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN173314) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300221) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2017-02-17 |