NPI | 1184092488 |
---|---|
Former Name | HOLLI HINOTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-119421) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL OS7143) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2017-02-10 |