| NPI | 1700408317 |
|---|---|
| Former Name | ANN BOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA378) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME TPA378) |
| 363A00000X Physician Assistant (Licence: ME PA378) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-09-08 |