| NPI | 1740301704 |
|---|---|
| Former Name | HOLLIE BETH DEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 0286028) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6228) |
| 363L00000X Nurse Practitioner (Licence: MN Oncology) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-03-07 |