| NPI | 1881047330 |
|---|---|
| Former Name | HOLLI NESBITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019889) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 19889) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-06-29 |