| NPI | 1205187432 |
|---|---|
| Former Name | JULIE RENEE HOLLOWAY OR DEPETRO-KEYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 14266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 14266) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 468057 RN/ 14266 FNP) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2018-07-31 |