NPI | 1306247648 |
---|---|
Former Name | HOLLY CHRISTINE NEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA09407) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09407) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2021-09-29 |