NPI | 1992089890 |
---|---|
Former Name | REBECCA ELIZABETH MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.009077) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-009077) |
Enumeration Date | 2011-10-11 |
Last Update Date | 2021-07-14 |