NPI | 1346357449 |
---|---|
Former Name | HOLLY ANN PEPOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 467-023) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 467-023) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2023-11-17 |