| NPI | 1083091185 |
|---|---|
| Former Name | CARA M BOSCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06328) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3979) |
| 363A00000X Physician Assistant (Licence: MI 5601006966) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-09-13 |