| NPI | 1487406500 |
|---|---|
| Former Name | COURTNEY LEE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2458863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2458863) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |