| NPI | 1679007439 |
|---|---|
| Former Name | HOLLY NICOLE LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 5960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 86086) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-01-31 |