| NPI | 1922407774 |
|---|---|
| Former Name | HOLLY DOHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA1649) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-783) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2023-05-23 |