NPI | 1124750609 |
---|---|
Former Name | LISA STERLING HOLLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2266065) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2266065) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2025-06-16 |