NPI | 1992991186 |
---|---|
Former Name | HANNAH AMANDA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5668) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 807773) |
363L00000X Nurse Practitioner (Licence: CA 18377) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2014-08-25 |