| NPI | 1487998308 |
|---|---|
| Former Name | HOLLY RENEE ISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN554156) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-09-22 |