NPI | 1679007439 |
---|---|
Former Name | HOLLY NICOLE LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 86086) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-18 |
Last Update Date | 2024-01-25 |