NPI | 1619941770 |
---|---|
Former Name | PATRICIA HOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 000866) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CT E40509) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-02-01 |