| NPI | 1053566687 |
|---|---|
| Former Name | ASHLEY MARIE HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053413) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053413) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-04-26 |