| NPI | 1376675231 |
|---|---|
| Former Name | CHARLENE HOLBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 344943-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 3449438900) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-06-27 |