| NPI | 1821418328 |
|---|---|
| Former Name | GINNY MILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60788955) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101261689) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2018-02-26 |