NPI | 1649692682 |
---|---|
Former Name | GABRIELLE SKYE HOLVICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6294) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L120989) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2024-04-23 |