| NPI | 1265923536 |
|---|---|
| Former Name | SHANELLE RANAE HOLLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-02487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-02487) |
| 207R00000X Internal Medicine (Licence: MI 5101024187) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-03-07 |