| NPI | 1124645064 |
|---|---|
| Former Name | SHELBY RAE HOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 31364) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND NDRL16577) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-06-20 |