NPI | 1003357369 |
---|---|
Former Name | HAILEY BROOKE HOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0061032) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0061032) |
Enumeration Date | 2017-03-19 |
Last Update Date | 2024-07-22 |