| NPI | 1598830994 |
|---|---|
| Former Name | JENNIFER GALE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 004407) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1346) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-02-22 |