| NPI | 1659889228 |
|---|---|
| Former Name | KIRBY HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006023) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110006023) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2023-06-30 |