| NPI | 1972948966 |
|---|---|
| Other Name | BOLA TINUKE AMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 568664) |
| 163W00000X Registered Nurse (Licence: NJ 26NR11110200) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |