NPI | 1760833107 |
---|---|
Former Name | GINA ANN HOLTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05923) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65919) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2022-08-08 |