| NPI | 1740695352 |
|---|---|
| Former Name | CARRISSIA HOLLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 812770) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NV 812770) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |