NPI | 1730712373 |
---|---|
Former Name | KRISTIE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 239617) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 239617) |
163W00000X Registered Nurse (Licence: AZ RN153625) | |
Enumeration Date | 2020-02-21 |
Last Update Date | 2024-05-13 |