| NPI | 1811928625 |
|---|---|
| Former Name | HOLLY MOSSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00042244) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 23705) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-05-27 |