| NPI | 1750655585 |
|---|---|
| Former Name | ANNE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 04-37811) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.059721) |
| 207N00000X Dermatology (Licence: OK 29145) | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2017-08-04 |