| NPI | 1093344608 |
|---|---|
| Former Name | KAYLN DENISE HOLLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.148368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-15376) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-07-03 |