| 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 |