NPI | 1801157938 |
---|---|
Former Name | LENORA M EVANS HOLLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004643A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-06-05 |
Last Update Date | 2024-02-09 |