| NPI | 1932154366 |
|---|---|
| Former Name | MONICA HOLCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 200650008NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650008NP) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-05-20 |