| NPI | 1770943235 |
|---|---|
| Former Name | VICTORIA ANNE HOLLINGSWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 19701) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 19701) |
| 163W00000X Registered Nurse (Licence: SC 19701) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2017-02-08 |