| NPI | 1730431099 |
|---|---|
| Former Name | VESNA BOGGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704295293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704295293) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2023-02-03 |