NPI | 1124048764 |
---|---|
Former Name | LINDA ANN HOLMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NPF2613) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN247575) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2015-07-02 |