| NPI | 1902553407 |
|---|---|
| Former Name | HOLLY ANN DIMMITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2022006635) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-06-28 |