| NPI | 1568450377 |
|---|---|
| Former Name | MICHELE HOLLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: AL MD.15188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.15188) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2019-08-27 |