| NPI | 1134534399 |
|---|---|
| Former Name | COURTNEY VANN BOKSAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017719) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA RN621420) |
| 363L00000X Nurse Practitioner (Licence: NC 5017719) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP018799) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-12-13 |