| NPI | 1174815054 |
|---|---|
| Former Name | KIMBERLY P HOLLIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105975) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9105975) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2019-09-19 |