NPI | 1215115845 |
---|---|
Former Name | GINGER HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013547) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 142127) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2021-07-19 |