NPI | 1962027516 |
---|---|
Former Name | DANNIE MILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021146) |
Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 95038248) |
Enumeration Date | 2020-06-09 |
Last Update Date | 2022-10-03 |