NPI | 1750773289 |
---|---|
Former Name | HOLLY MELISSA PARKISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19608) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN RN0000194224) |
363L00000X Nurse Practitioner (Licence: TN 19608) | |
Enumeration Date | 2015-02-20 |
Last Update Date | 2024-02-20 |