NPI | 1427034909 |
---|---|
Former Name | HOLLY KORICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AZ RN075083) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AZ AP0241) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2011-11-29 |