| NPI | 1679576268 |
|---|---|
| Former Name | JUDITH L BOSSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-095402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2188812) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2024-05-01 |