NPI | 1548792302 |
---|---|
Former Name | KATHLEEN D. MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020628) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020628) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2018-10-22 |