NPI | 1225537574 |
---|---|
Former Name | MORGAN MARIE HOLTHAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156217) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A156217) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2022-10-20 |