| NPI | 1790933513 |
|---|---|
| Former Name | CHARL Y HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR A03582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 601018T) |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: TX 601018) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2018-10-17 |