| NPI | 1871753202 |
|---|---|
| Former Name | HOLLAND NELL HURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2008-0025) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1978) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2009-06-02 |