| NPI | 1104470129 |
|---|---|
| Former Name | KATHLEEN HOLEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005848) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005848) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2021-10-19 |