NPI | 1962467704 |
---|---|
Former Name | HOLLY A PRIOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052934) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA000229L) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2016-06-09 |