NPI | 1629592654 |
---|---|
Former Name | KATHLEEN PILAR MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175179) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175179) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2024-09-24 |