NPI | 1124023643 |
---|---|
Professional Name | DEBRA STUMPF HOLLISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA DO.000130) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-00-7136-H) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2019-11-22 |