NPI | 1477634624 |
---|---|
Former Name | KARA GABRIELLE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301506058) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 49937) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WI 49937) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2022-05-16 |