NPI | 1265410971 |
---|---|
Former Name | KAYE HOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2584-033) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 139882-1) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2021-06-14 |