| NPI | 1639649544 |
|---|---|
| Former Name | HOLLI MARIE YUCHKOVSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9396034) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |