| NPI | 1295780617 |
|---|---|
| Former Name | HOLLY ANN ENTERLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 81939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 61790) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-03-30 |