NPI | 1578624763 |
---|---|
Former Name | JENNIFER ALENE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 669263) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 10926) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |