| NPI | 1811056831 |
|---|---|
| Former Name | CAROLYN NICOLE HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2121) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-10-29 |