| NPI | 1407131543 |
|---|---|
| Former Name | CHRISTY S BOULOS STORM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NE 111312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111312) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2025-09-05 |