| NPI | 1770915290 |
|---|---|
| Former Name | REGINA L MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209003549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131051) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-11-06 |