NPI | 1902482722 |
---|---|
Other Name | THERESA I HOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008523) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008523) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2025-08-02 |