| NPI | 1902358955 |
|---|---|
| Former Name | MONICA HOLLOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: MT MED-PAC-LIC-585669) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA179151) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-01-10 |