NPI | 1457307191 |
---|---|
Former Name | KAREN LYNN BOLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R1318238) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN R1318238) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 11166) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: MN 11166) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2022-11-07 |