Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A145218 | CA |
NPI | 1114244720 |
---|---|
Provider Name | Dr. Catherine Ann Miller |
First Address | Greenbrae, CA 94904-2017 |
Second Address | Greenbrae, CA 94904-2017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 04/01/2022 |