| NPI | 1750839692 |
|---|---|
| Former Name | DANIELLE HOLIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 4278) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020131) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-11-30 |