NPI | 1275944597 |
---|---|
Former Name | KRISTIN BOLOGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00703) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10041157) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2017-11-14 |