| NPI | 1780206797 |
|---|---|
| Former Name | KATIE MILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020033934) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2017037579) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2023-08-08 |