| NPI | 1528572682 |
|---|---|
| Former Name | SANDRA JO MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: UT 374964-9920) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: UT 374964-0701) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-06-21 |