NPI | 1528274859 |
---|---|
Former Name | HOLLY AMBER LITLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52384) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101257455) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2018-03-17 |