| NPI | 1922327022 |
|---|---|
| Former Name | MARY ELIZABETH MILLER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD476513) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D89039) |
| 207N00000X Dermatology (Licence: VA 0101251076) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MD D89039) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-07-08 |