| NPI | 1689089013 |
|---|---|
| Former Name | HOLLY LYNN KOKINDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2019-00460) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME144887) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-01-04 |