| NPI | 1497065627 |
|---|---|
| Former Name | ELIZABETH ANNE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4064) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5995) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2021-02-01 |