NPI | 1235385832 |
---|---|
Former Name | HOLLY LYNN SPRAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080H0002X (Licence: UT 7598308-1205) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 7598308-1205) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2024-01-30 |