| NPI | 1467844886 |
|---|---|
| Former Name | KRYSTAL LEIGH HOLTCAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004315RX) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2025-06-10 |