| NPI | 1467868661 |
|---|---|
| Former Name | KELLEY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24253) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-08-30 |