| NPI | 1730799578 |
|---|---|
| Former Name | HOLLY M FAIETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904011) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904011) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |