| NPI | 1669970026 |
|---|---|
| Former Name | DORELL MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NY 562202) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |