| 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 |