| NPI | 1205196458 |
|---|---|
| Former Name | EMILY SUZANNE HOLTVLUWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704240951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 745774) |
| 363L00000X Nurse Practitioner (Licence: TX AP122357) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2018-03-17 |