| NPI | 1275953465 |
|---|---|
| Former Name | HOLLY BRIANNE CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX R5105) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2022-08-30 |