NPI | 1528556362 |
---|---|
Former Name | HOLLIE ELIZABETH ABLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 29082) |
Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine (Licence: SC 52618) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-11-07 |