NPI | 1548898026 |
---|---|
Former Name | HOLLY CHRISTINE STIMAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007710) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-03-30 |
Last Update Date | 2023-03-03 |