| NPI | 1639316003 |
|---|---|
| Former Name | ALYSSA JUNE BOSWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 991898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 179969) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2024-05-17 |