NPI | 1972749976 |
---|---|
Former Name | KATHERINE ELIZABETH MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022907) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30022907) |
Enumeration Date | 2008-12-21 |
Last Update Date | 2024-06-10 |