NPI | 1194759001 |
---|---|
Former Name | DONNA J HOLTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 71000241A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71000241) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2018-07-04 |