| NPI | 1922037811 |
|---|---|
| Former Name | HOLLY NICOLE VICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002110A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002110A) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-05-17 |