| NPI | 1629215074 |
|---|---|
| Former Name | HOLLY ANNE WESOLOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 126924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME111036) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2016-05-04 |