NPI | 1275793432 |
---|---|
Former Name | TORREY ANN BOLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI MD19099) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: IL 036-132319) |
2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036.132319) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2023-05-16 |