NPI | 1487072013 |
---|---|
Former Name | HOLLY B RASAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18608) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 125341) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2019-05-14 |