NPI | 1538135421 |
---|---|
Former Name | HOLLY A GERLAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081231) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA335) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2011-02-09 |