NPI | 1780281675 |
---|---|
Former Name | KELSA M DIDIER-MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2535) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007970) |
Enumeration Date | 2020-10-05 |
Last Update Date | 2024-02-05 |