NPI | 1780857607 |
---|---|
Former Name | CHRISTY LINNETTE BOLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4303) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N4303) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2022-01-25 |