| NPI | 1093982183 |
|---|---|
| Former Name | NEVIN SHAE BOLANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 299837) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 55697-20) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-06-26 |