| NPI | 1205943776 |
|---|---|
| Former Name | HOLLY KAY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 005511) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50-001788) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-00319) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-09-07 |