| NPI | 1720497126 |
|---|---|
| Former Name | HOLLY ELIZABETH BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61556138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125742) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2024-05-09 |