| NPI | 1558978775 |
|---|---|
| Former Name | LAUREN MICHELLE HOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 255812) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 255812) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-10-30 |