NPI | 1477184497 |
---|---|
Former Name | HALLE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02308) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-02308) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-04-04 |