NPI | 1023509304 |
---|---|
Former Name | MARIA TAYLOR HOLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP134319) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012464) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 3012464) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2021-04-06 |