| NPI | 1578564555 |
|---|---|
| Other Name | LISA BOSLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD042859L) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD042859L) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-10-13 |