NPI | 1639264377 |
---|---|
Former Name | LORI P BOLLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2015-0833) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME TD00000) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2016-11-14 |