NPI | 1760065759 |
---|---|
Former Name | SARAH JOYCE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14818) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14559) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2024-04-23 |