NPI | 1659582815 |
---|---|
Other Name | MARY HOLCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11008395) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3381572) |
Enumeration Date | 2007-05-26 |
Last Update Date | 2021-01-15 |