NPI | 1871010843 |
---|---|
Former Name | LEAH HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014461) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23086) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2022-10-20 |