| NPI | 1891170551 |
|---|---|
| Former Name | ELIZABETH SUE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT005690) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.003592) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-08-28 |