| NPI | 1699757138 |
|---|---|
| Former Name | JENNIFER LYNN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R0083557) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28078821A) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-03-22 |