| NPI | 1912931742 |
|---|---|
| Former Name | JENNIFER ELAINE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 070399) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 002815) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |