NPI | 1962499756 |
---|---|
Former Name | LYNNE E ODELL-HOLZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400498) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 2547141) |
363LF0000X Nurse Practitioner, Family (Licence: NY 332404) | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2023-03-07 |