NPI | 1285690461 |
---|---|
Former Name | DELORI M HOLDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9323161) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45683) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2015-09-08 |