| NPI | 1366557688 |
|---|---|
| Former Name | GRETCHEN S HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004218) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601004218) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-02-17 |