NPI | 1437182144 |
---|---|
Former Name | MARY ANN BOLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN3022592) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3022592) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2023-04-12 |