| NPI | 1619327343 |
|---|---|
| Former Name | ELLA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13738) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210325) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2018-05-21 |