NPI | 1902151285 |
---|---|
Former Name | ELIZABETH KELLY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R-5661) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 15319) |
225X00000X Occupational Therapist (Licence: FL 15319) | |
Enumeration Date | 2012-07-23 |
Last Update Date | 2014-03-28 |