NPI | 1417352378 |
---|---|
Former Name | ERIN MARIE HOLDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 103882) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0103882) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2018-12-20 |