| NPI | 1477559417 |
|---|---|
| Former Name | LARA E MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2003001210) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-09 |