NPI | 1023500188 |
---|---|
Former Name | ANDRIA LYN HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 4924227-4405) |
Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: UT 4924227-3102) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2021-11-04 |