| NPI | 1669438800 |
|---|---|
| Former Name | TANIS M HOLDEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 136230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45544) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-02-01 |