Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 0101250385 | VA |
N | 2084N0402X | Child Neurologist | MD434888 | PA |
NPI | 1336393701 |
---|---|
Provider Name | Dr. Ingrid Paola Loma-Miller |
First Address | Norfolk, VA 23502-3932 |
Second Address | Norfolk, VA 23502-3932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 16/02/2017 |