| NPI | 1386201473 |
|---|---|
| Former Name | BOLANLE OLABISI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 219941) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-05-08 |