| NPI | 1407198179 |
|---|---|
| Former Name | HOLLEY LEONA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2016021070) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2016021070) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2016-11-07 |