| NPI | 1659329860 |
|---|---|
| Former Name | CAROLYN J HOLLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM R54631 CNP 01313) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R54631) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM R54631 CNP01313) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NM R54631 CNP 01313) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-01-07 |