| NPI | 1851071161 |
|---|---|
| Former Name | KATRESE L HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010475) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-08-06 |