| NPI | 1710409495 |
|---|---|
| Former Name | ERICA LAUREN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 5293) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-09-21 |