| NPI | 1427172279 |
|---|---|
| Former Name | HOLLY GAIL BREUNINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 6948A) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WY 6948A) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |