NPI | 1821105313 |
---|---|
Former Name | CAROL JANE MILLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 104543-030) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 566-033) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2021-12-06 |