| NPI | 1205803384 |
|---|---|
| Former Name | CHERYL BOEHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0001619) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105332) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-12-07 |