| NPI | 1255066965 |
|---|---|
| Former Name | JOSEPHINE BOSQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 208981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R094911) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR 124056) | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |