NPI | 1649713686 |
---|---|
Former Name | TERRY ANNE HOLDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000964) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R203613) |
163W00000X Registered Nurse (Licence: MD R203613) | |
Enumeration Date | 2016-11-23 |
Last Update Date | 2016-11-23 |