NPI | 1861633935 |
---|---|
Former Name | WENDY M MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60600572) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16071) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2021-03-30 |