NPI | 1659550069 |
---|---|
Former Name | GINGER RENEE HOLLOMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 5335A) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2013-08-12 |