NPI | 1578867040 |
---|---|
Former Name | HOLLY MARIE STEADMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7052) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 1965) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2020-03-17 |