| NPI | 1497796163 |
|---|---|
| Former Name | KATRINA DEMARIS MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101280224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A73874) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: IL 071051) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2025-01-15 |