| NPI | 1639491798 |
|---|---|
| Former Name | HOLLY MARIE SQUIBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10706) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2023-03-28 |