NPI | 1578944096 |
---|---|
Former Name | AMANDA KATHERINE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS019791) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT016473) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2019-02-06 |