NPI | 1528322534 |
---|---|
Former Name | KRISTIAN DELAINE HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 58803) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201428) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 007977) | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2019-12-04 |