| NPI | 1881810554 |
|---|---|
| Former Name | JONI LYNN BOLGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 45363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 45363) |
| 208000000X Pediatrics (Licence: TN 45363) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-10-03 |