| NPI | 1306952379 |
|---|---|
| Former Name | JEANINE R. HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-84910-102) |
| 163W00000X Registered Nurse (Licence: MO 2000165819) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-02-01 |