NPI | 1477857324 |
---|---|
Other Name | SUSAN JENNIFER MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005936) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601005936) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2023-10-09 |