| NPI | 1760473805 |
|---|---|
| Former Name | KERRIE LYNN BOSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2003018486) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2398) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2025-02-19 |