NPI | 1104099761 |
---|---|
Former Name | HOLLY ANN HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003914) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5003914) |
Enumeration Date | 2008-04-03 |
Last Update Date | 2021-04-02 |