| NPI | 1982748851 |
|---|---|
| Former Name | HOLLY MELINDA HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2565) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2005020646) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |