NPI | 1962463596 |
---|---|
Former Name | TERRIE HOLDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ME 4704088316) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704088316) |
363LN0000X Nurse Practitioner, Neonatal (Licence: WI 146141-030) | |
Enumeration Date | 2006-03-31 |
Last Update Date | 2018-03-17 |