NPI | 1255963468 |
---|---|
Former Name | MELANIE MARIE HOLLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TX AP145826) |
Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TX 879568) |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-04-14 |