| NPI | 1306876073 |
|---|---|
| Former Name | LAURI ELEANOR BOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139247) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704222343) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-04-23 |