| NPI | 1063822088 |
|---|---|
| Former Name | LAURA KAYE BOLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-03-15 |