| NPI | 1851682009 |
|---|---|
| Former Name | CHRISTINA LYNN BOLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006755) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2018-09-10 |