| NPI | 1770106619 |
|---|---|
| Former Name | HANNAH MARIE HOLASEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 3211) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 3211) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2025-12-05 |