NPI | 1952635989 |
---|---|
Former Name | KRISTINE M HOLAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013518-1) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 13518) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2023-07-06 |