| NPI | 1699092007 |
|---|---|
| Former Name | CHRISTINA LYNN BOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 57539) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-04-24 |
| Last Update Date | 2014-04-08 |