Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 107882 | NC |
NPI | 1043266430 |
---|---|
Provider Name | Elizabeth M Holoman |
First Address | Raleigh, NC 27615-1222 |
Second Address | Raleigh, NC 27610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 08/07/2007 |