| NPI | 1336448414 |
|---|---|
| Former Name | HOLLY B HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1053) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2014-10-28 |