NPI | 1114337318 |
---|---|
Former Name | HOLLY MARIE HELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX R5819) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5819) |
Enumeration Date | 2014-04-28 |
Last Update Date | 2018-09-05 |