NPI | 1942613252 |
---|---|
Former Name | LORRIE LORRAINE MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA NP0033386) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2021-02-26 |