NPI | 1093109514 |
---|---|
Former Name | KRISTIN ELIZABETH BOHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 152051) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01082220A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-23 |
Last Update Date | 2024-05-01 |