NPI | 1104009430 |
---|---|
Former Name | SHAUNA KAY HOLLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002333A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002333A) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2008-04-09 |