NPI | 1194578211 |
---|---|
Former Name | HOLLY ISRAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0036265) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175944) |
Enumeration Date | 2024-04-09 |
Last Update Date | 2024-07-22 |