| NPI | 1467655431 |
|---|---|
| Former Name | HOLLY JEANETTE WIMPEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 35937) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD445320) |
| 207N00000X Dermatology (Licence: KY 47508) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2019-03-13 |