| NPI | 1700477437 |
|---|---|
| Former Name | HOLLY LEANNE INMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9299707) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |