| NPI | 1639106792 |
|---|---|
| Other Name | HOLLY A. VAN DYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 37165) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 27719) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-06-29 |