| NPI | 1518063536 |
|---|---|
| Former Name | MARY ANNETTE VAN HOLDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA WA AP30007209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR OR 200350141NP) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |