| NPI | 1114312063 |
|---|---|
| Former Name | MEAGAN BOLLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D88087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D88087) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-07-26 |