| NPI | 1104597665 |
|---|---|
| Former Name | RACHEL BOSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2023-08-15 |