| NPI | 1790423598 |
|---|---|
| Former Name | MAKEDA HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 741401) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 741401) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-10-18 |