| NPI | 1154844686 |
|---|---|
| Former Name | BOLO O DIALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP5272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1860430) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2024-11-26 |