| NPI | 1366843674 |
|---|---|
| Former Name | HOLLY RENEE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1955) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4424) |
| 363AM0700X Physician Assistant Medical (Licence: KY PA1955) | |
| 363AS0400X Physician Assistant Surgical (Licence: KY PA1955) | |
| Enumeration Date | 2014-09-06 |
| Last Update Date | 2024-09-13 |