| NPI | 1831646108 |
|---|---|
| Former Name | INGRID MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 041461373) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN CNP 4517) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 4517) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP 4517) | |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2019-04-24 |