NPI | 1790701589 |
---|---|
Former Name | JENNIFER A BOSSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA-4885) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 118813) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2021-03-24 |