| NPI | 1013155266 |
|---|---|
| Other Name | HOLLY LORRAINE COLLISHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN096747 APO5653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN096747 APO5653) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |