Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD452165 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD452165 | PA |
NPI | 1215221452 |
---|---|
Provider Name | Felina Mille |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 29/10/2019 |