| NPI | 1164634697 |
|---|---|
| Former Name | LAURA L JOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0005165-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201403551NP-PP) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-03-21 |