| NPI | 1891259362 |
|---|---|
| Former Name | ALLISON J BOSOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019249) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.01249) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-02-08 |