NPI | 1801184858 |
---|---|
Former Name | SHEILA M BOESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1279) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA288) |
Enumeration Date | 2011-07-12 |
Last Update Date | 2017-04-27 |