| NPI | 1003922998 |
|---|---|
| Former Name | MERRILEE HOLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60540642) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204734) |
| 174400000X Specialist (Licence: AZ 8841) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-10-27 |