| NPI | 1477167526 |
|---|---|
| Former Name | MARIELLEN HOFLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID MRM-2165) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2022-06-03 |