| NPI | 1730537168 |
|---|---|
| Former Name | HAILEE I. MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4283) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-05-15 |