NPI | 1922838184 |
---|---|
Professional Name | KELLY JOANN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247200000X Technician, Other (Licence: TX ZP13539) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT100223) |
Enumeration Date | 2024-08-02 |
Last Update Date | 2024-08-02 |