| NPI | 1972821148 |
|---|---|
| Former Name | HOLLEY ELIZABETH JETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 69761) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 69761) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-07-03 |