NPI | 1659679462 |
---|---|
Former Name | SALIA MCMILLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9351557) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN176496) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2020-05-27 |