| NPI | 1649515867 |
|---|---|
| Former Name | HOLLY NESTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006528) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601006528) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2014-05-05 |