NPI | 1447017769 |
---|---|
Former Name | ALISON HOLCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5156) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-10-14 |