NPI | 1932840154 |
---|---|
Former Name | MICHAELA ALI MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74979) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 32484) |
Enumeration Date | 2022-04-03 |
Last Update Date | 2023-08-08 |