| NPI | 1053615013 |
|---|---|
| Former Name | MIRANDA D HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28561) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0990080-NP) |
| 363L00000X Nurse Practitioner (Licence: CO 178965) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2021-03-17 |