| NPI | 1912781980 |
|---|---|
| Former Name | EMMALYN BOESER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 294764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2482587) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |