| NPI | 1124476189 |
|---|---|
| Former Name | ABIGAIL LYNN BOLLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 71006276A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 28203846A) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-02-18 |