NPI | 1093339913 |
---|---|
Former Name | KRISTYN J. BOSSLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2644) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-06-05 |
Last Update Date | 2023-10-24 |