NPI | 1336434182 |
---|---|
Former Name | BROOKE SHAVON HOLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 33538) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33538) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2023-08-01 |