NPI | 1720284318 |
---|---|
Former Name | CAREY A BOSOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01649) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01649) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2020-01-24 |