| NPI | 1255849550 |
|---|---|
| Former Name | HOLLY MAGNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.381006) |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2021-02-09 |