| NPI | 1558639567 |
|---|---|
| Former Name | TARYN R HOLLIDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1152) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2086) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2021-06-30 |