| NPI | 1609569748 | 
|---|---|
| Former Name | OLIVIA OPAL BOLDOSER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA233010) | 
| Enumeration Date | 2023-06-02 | 
| Last Update Date | 2023-06-02 |