| NPI | 1679789291 |
|---|---|
| Former Name | DENIM RENEE HOLLAND, SEALS, BOLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX AP115721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03157) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX R26629) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 95843) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-02-15 |