| NPI | 1346651882 |
|---|---|
| Former Name | HOLLY MARIE KLOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201390556RN) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |