| NPI | 1922667500 |
|---|---|
| Former Name | HOLLY ELIZABETH JEWELL-BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95010579) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-09-20 |