NPI | 1144069949 |
---|---|
Former Name | HOLLY D HARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 220118) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1158948) |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-11-06 |