NPI | 1801090014 |
---|---|
Former Name | CATHY LYNN BOSWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-45637) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 5345637041) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MO 147870) | |
Enumeration Date | 2007-06-12 |
Last Update Date | 2013-09-12 |