| NPI | 1093757999 |
|---|---|
| Former Name | MARY HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000341) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A091311) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-06-14 |