| NPI | 1558432211 |
|---|---|
| Former Name | HOLLI LEIGH PAULK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 4072) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2010035678) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-04-07 |