| NPI | 1598207227 |
|---|---|
| Former Name | CAROLINE J MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2186) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC557) |
| 363AM0700X Physician Assistant, Medical (Licence: KY PA2186) | |
| 363AS0400X Physician Assistant, Surgical (Licence: KY PA2186) | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2021-03-22 |